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  • John Hawkins

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    John M. Hawkins is president and chief executive officer of the Texas Hospital Association. He is the organization’s sixth CEO since its inception in 1930. A longtime advocacy veteran, Hawkins has more than 35 years of experience in legislative, leadership and policy circles and has deep knowledge of health care and hospital funding issues. As CEO, he represents the Texas hospital industry locally and nationally and helps ensure hospitals have the resources they need to deliver the highest quality health care to all Texans.

Articles by John Hawkins

October 16, 2025
4 min read

Let the Shutdown Be a Reminder: Hospitals Need Long-Term Certainty From Congress

At the start of this month, the federal government shut down for the first time in nearly seven years. This column is written in advance, and it’s possible that by the time you’re reading this, Democrats and Republicans will have ended their standoff and found at least a short-term funding solution to keep the government open. We at the Texas…
September 19, 2025
4 min read

In This Special Session, We Stressed Why Hospitals Themselves Are Special

During the special session of the Texas Legislature that just wrapped up, we at the Texas Hospital Association once again had to focus on one of our highest-level – and highest-priority – points that we repeatedly come back to with lawmakers. That perennial message is this: Hospitals are unique, and so are their circumstances. A one-size-fits-all mandate or prohibition in…
August 26, 2025
4 min read

Texas Needs Congress to Renew Soon-to-Expire Premium Credits

A fair number of times in this column’s history, you’ve seen me come back to Texas’ uninsured rate. It’s on our minds constantly at THA, because it’s the highest in the nation – more than 16%, at last accounting – and because good health coverage and good health care go hand in hand. We’re always looking to get more Texans…
July 16, 2025
4 min read

After the Federal Mega-Bill, Our Lone Star Safety Net Remains Intact

It occupied our time and our minds as much as any issue can while sharing the stage with a state legislative session. For nearly six months, it consumed us. But we made sure it didn’t consume Texas Medicaid. When negotiations began in Congress early this year on a federal budget “mega-bill” that targeted Medicaid cuts as a major cost offset,…
June 17, 2025
4 min read

In a Unique Session, THA Survives and Thrives

There’s never been a legislative session quite like this one. Granted, in saying that, I’m only speaking for my time at the Texas Hospital Association, which now covers 21 years and 11 regular sessions of the Texas Legislature. But I can tell you that never, during any of those past sessions, did we have the usual 140-day firehose coming from…
May 15, 2025
3 min read

Congress Should Be Careful With Medicaid. Lives Are at Stake.

Since talk of a major congressional budget package began several months ago, our Texas Hospital Association has been stressing that Medicaid – the source of health coverage for more than 4 million Texans – couldn’t handle a seismic and sudden upset. Based on where things stand at this writing, we’ve made progress. But there’s a long way to go, and…
April 24, 2025
3 min read

Texas Women – and Hospitals – Need the Certainty and Clarity of the Life of the Mother Act

There is nothing more central to the mission of a hospital than saving lives. If you want our Texas Hospital Association to throw our support behind a bill, the quickest route to opening that discussion is to tell us that the bill will save lives, and then show us how.
March 24, 2025
4 min read

Hospitals Need Every Route to Act Fast in a Mental Health Crisis

There’s a lot of talk about government efficiency these days. Whether it’s in Washington, D.C., at the Texas Capitol or on your television, right now there’s no missing it. Much of it centers on financial concerns: whether our tax dollars are being used in a lean and worthwhile manner. But other times, realizing efficiency might be simpler than that; for…
February 19, 2025
5 min read

Preventing New Plagues: THA Committed to Defending Time-Tested Vaccines

Typically, policy disagreements we at the Texas Hospital Association have with other advocates involve reasonable minds presenting differing viewpoints with a credible basis. But here and there, it feels like we’re arguing against believers in a flat Earth – situations where we’re in the position of using settled, established science to fight junk science and dubious anecdotal information. Increasingly, that’s…
Bollard Mandates for Hospitals Would Be a Barrier to Care
January 21, 2025
4 min read

Bollard Mandates for Hospitals Would Be a Barrier to Care

It’s not uncommon for the Texas Legislature to lay an unusual issue at our feet, something that’s never been a point of contention in our work at the Capitol. In the first days of the Legislature’s 89th session, which kicked off on Jan. 14, we find ourselves addressing something we don’t normally touch on with lawmakers: bollards. While “bollards” isn’t…